This is a case of a 65 y/o morbidly obese female with severe acid reflux requiring high dose PPI. We elected to perform SIPS, paraesophageal hernia repair with mesh and Nissen fundoplication on her. She lost 40% of her excess weight with resolution of reflux by 6 months.

Here we present the technique, SIPS with LF that provides substantial weight loss with GERD resolution.